Perimenopause is rough in many ways, it CAN increase social withdrawal urges because rapidly fluctuating estrogen and progesterone impact mood, anxiety, energy, emotional regulation, ability to deal with stress, and sensitivity to social cues from other people. This is exhausting, no wonder so many women simply don't have the energy to want to be social. Have you recently found yourself declining invitations, withdrawing when you used to be the one keeping everyone laughing,

This morning on my hot mama walk, weighted vest strapped on, I found myself thinking about how complicated exercise advice can feel during perimenopause. We’re told to lift heavy weights to protect our bones and preserve muscle. Walk for cardiovascular health. Exercise for our mood. Move for our mental health. And then, somewhere along the way, the conversation turns to cortisol: “But don't exercise too much—you'll spike your cortisol!” So…what's a woman in perimenopause actu

Midlife is often portrayed as the time when women are supposed to have it all figured out. Career. Kids. Relationships. Aging parents. Household logistics. A body that may suddenly seem to have received its own set of operating instructions. But for many women, midlife is also a period of significant psychological, physical, hormonal, and social change—and we don't talk nearly enough about what that can mean for mental health. Research examining suicidal behavior across women

This blog shares the science behind anxiety increases in perimenopause, treatments, and support with online individual and group therapy

Cougar puberty, aka perimenopause is a challenging time, especially when you are parenting a teen who is on their own hormonal roller coaster, aka the "first puberty". Dr. Tera gets it because she is navigating the same things and has 20 years of experience as a clinical psychologist. Reach out to connect, therapy works, you don't have to do this alone.